HESI ADULT HEALTH EXAM NEWEST
ACTUAL EXAM (RATIONALES AVAILABLE)
WITH COMPLETE QUESTIONS AND
DETAILED ANSWERS GRADED A | BRAND
NEW!!!
A client who is admitted to the coronary care unit with a
myocardial infarction (MI) begins to develop increased
pulmonary congestion, an increase in heart rate from 80 to 102
beats per minute, and cold, clammy skin. What action should
the nurse implement?
A. Notify the healthcare provider.
B. Increase the IV flow rate.
C. Place the client in the supine position.
D. Prepare the client for an emergency echocardiography.
A. Notify the healthcare provider.
Rationale
Increased pulmonary congestion, increased heart rate, and
cold, clammy skin in a client with a myocardial infarction
indicate impending cardiogenic shock related to heart failure,
,a common complication of MI. The healthcare provider should
be notified immediately for emergency interventions of this
life-threatening complication.
A female client with type 2 diabetes mellitus reports dysuria.
Which assessment finding is most important for the nurse to
report to the healthcare provider?
A. Suprapubic pain and distention.
B. Bounding pulse at 100 beats/minute.
C. Fingerstick glucose of 300 mg/dl.
D. Small vesicular perineal lesions.
C. Fingerstick glucose of 300 mg/dl.
Rationale
Elevated fingerstick glucose levels needs to be reported to the
healthcare provider, so a plan of care can be adjusted to treat
the elevated glucose level. Also elevated glucose levels, spills
into the urine and provide a medium for bacterial growth.
,The nurse is teaching a client about precautions for a new
prescription for lovastatin (Mevacor). Which symptom should
the nurse instruct the client to report to the healthcare
provider immediately?
A. Terrible nightmares.
B. Increased nocturia.
C. Severe muscle pain.
D. Visual disturbances.
C. Severe muscle pain.
Rationale
A potential, serious side effect of statin therapy that is used to
lower both LDL-C and triglyceride levels is rhabdomyolysis,
which is manifested by severe muscle pain and aching.
A client who has just tested positive for human
immunodeficiency virus (HIV) does not appear to hear what the
nurse is saying during post-test counseling. Which information
should the nurse offer to facilitate the client's adjustment to
HIV infection?
A. Inform the client how to protect sexual and needle-sharing
partners.
, B. Teach the client about the medications that are available for
treatment.
C. Identify the need to test others who have had risky contact
with the client.
D. Discuss retesting to verify the results, which will ensure
continuing contact.
D. Discuss retesting to verify the results, which will ensure
continuing contact.
Rationale
Encouraging retesting supports hope and gives the client time
to cope with the diagnosis. Although post-test counseling
should include education, retesting encourages the client to
maintain medical follow-up and management.
The home health nurse is assessing a client with terminal lung
cancer who is receiving hospice care. Which activity should be
assigned to the hospice practical nurse (PN)?
A. Administer medications for pain relief, shortness of breath,
and nausea.
B. Clarify family members' feelings about the meaning of client
behaviors and symptoms.
ACTUAL EXAM (RATIONALES AVAILABLE)
WITH COMPLETE QUESTIONS AND
DETAILED ANSWERS GRADED A | BRAND
NEW!!!
A client who is admitted to the coronary care unit with a
myocardial infarction (MI) begins to develop increased
pulmonary congestion, an increase in heart rate from 80 to 102
beats per minute, and cold, clammy skin. What action should
the nurse implement?
A. Notify the healthcare provider.
B. Increase the IV flow rate.
C. Place the client in the supine position.
D. Prepare the client for an emergency echocardiography.
A. Notify the healthcare provider.
Rationale
Increased pulmonary congestion, increased heart rate, and
cold, clammy skin in a client with a myocardial infarction
indicate impending cardiogenic shock related to heart failure,
,a common complication of MI. The healthcare provider should
be notified immediately for emergency interventions of this
life-threatening complication.
A female client with type 2 diabetes mellitus reports dysuria.
Which assessment finding is most important for the nurse to
report to the healthcare provider?
A. Suprapubic pain and distention.
B. Bounding pulse at 100 beats/minute.
C. Fingerstick glucose of 300 mg/dl.
D. Small vesicular perineal lesions.
C. Fingerstick glucose of 300 mg/dl.
Rationale
Elevated fingerstick glucose levels needs to be reported to the
healthcare provider, so a plan of care can be adjusted to treat
the elevated glucose level. Also elevated glucose levels, spills
into the urine and provide a medium for bacterial growth.
,The nurse is teaching a client about precautions for a new
prescription for lovastatin (Mevacor). Which symptom should
the nurse instruct the client to report to the healthcare
provider immediately?
A. Terrible nightmares.
B. Increased nocturia.
C. Severe muscle pain.
D. Visual disturbances.
C. Severe muscle pain.
Rationale
A potential, serious side effect of statin therapy that is used to
lower both LDL-C and triglyceride levels is rhabdomyolysis,
which is manifested by severe muscle pain and aching.
A client who has just tested positive for human
immunodeficiency virus (HIV) does not appear to hear what the
nurse is saying during post-test counseling. Which information
should the nurse offer to facilitate the client's adjustment to
HIV infection?
A. Inform the client how to protect sexual and needle-sharing
partners.
, B. Teach the client about the medications that are available for
treatment.
C. Identify the need to test others who have had risky contact
with the client.
D. Discuss retesting to verify the results, which will ensure
continuing contact.
D. Discuss retesting to verify the results, which will ensure
continuing contact.
Rationale
Encouraging retesting supports hope and gives the client time
to cope with the diagnosis. Although post-test counseling
should include education, retesting encourages the client to
maintain medical follow-up and management.
The home health nurse is assessing a client with terminal lung
cancer who is receiving hospice care. Which activity should be
assigned to the hospice practical nurse (PN)?
A. Administer medications for pain relief, shortness of breath,
and nausea.
B. Clarify family members' feelings about the meaning of client
behaviors and symptoms.
